| NPI | 1134307143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 201) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17035) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2016-05-03 |